Question
For each policy (Social Security Act, Economic Opportunity Act, Personal Responsibility and Work Opportunity Reconciliation Act), briefly:
Explain how the policy is addressed at the federal, state, and local level. (Florida) 
What programs were developed from this policy?
Reflect on how the policy affects or may affect your community, geographic area, or potential clients.
Then, address this unique prompt for this week’s Quick Guide:
Identify one opportunity for change for one of the policies.
Note: For the Policy Quick Guides, there is no specific page count. Rather, strive to concisely capture the vital information for each policy, much like you would find in a reference book or other encyclopedia style resource. You must, however, use correct grammar and an academic writing style.
Answer
1. Social Security Act
Prior to the Social Security Act, assistance to the elderly, the chronically ill, and the needy came from family members, local town relief, charity, and mutual aid. However, public assistance was merely a minor element in these sources of aid. Most families were not able to afford to provide support and security for their elderly family members. Due to the ongoing economic hardships during the first few years, the legislations surrounding the Old Age Revolving Pensions were unpopular to the public. The bills were being constantly revised before they were legislated and the Governors in both California and Florida, states where the laws were successfully put into practice, have found the necessary criteria for the pension ridiculous and impossible to fulfill. In 1933, President Roosevelt set up the Committee on Economic Security in order to formulate new proposals for the establishment of some kind of economic security for the American people. One year later, the committee proposed several measures in order to eliminate the hazards of modern life, provide for the general welfare and protect children, the dependent, handicapped and the aged. The Social Security Act was signed into law by President Roosevelt on August 14, 1935. In addition to several provisions for general welfare, the new Act created a social insurance program designed to pay retired workers age 65 or older a continuing income after retirement. I am going to provide a detailed perspective of the political and social climate that provided the framework for the new law. I will also examine in depth the provisions of the Social Security Act and attempt to justify why and how the Act was passed. In order to answer this inquiry, I am going to start by analyzing the various social groups of people in the American community and their respective attitudes to the Act. Then I would analyze the political parties, the Government, the attitude of the Supreme Court and how different states envisage about the Act. I would then link the wider picture back to the main question and form an overall conclusion.
1.1. Federal, State, and Local Addressing
The federal government delegates the responsibility to manage social welfare programs to state and local governments. Most states, except for Hawaii, have state-supervised programs for helping the needy and low-income families. There is a federal Department of Health and Human Services that works with state social welfare agencies. It is the DHS that manages the TANF program and Social Security Programs to an extent. This division has been subtle historically, but in the contemporary era, state and local agencies have been given more freedom in designing social welfare programs that cater to the needs of their own population. Such flexibility is identified as ‘state flexibility’ in the scholarly world. Furthermore, states have the option to either run the program themselves or hire a non-profit organization. This being said, social welfare in the United States, in terms of its structural construction, is highly decentralized. OTDA is established to supervise the administration and planning of social welfare programs in local agencies. Local social welfare agencies and departments are funded by local government and they offer social services. Maslow’s theory of self-actualization has been implemented in social welfare programs in the United States. Based on the idea that people strive for existence, society should help the lower stratum society with food, shelter, and other basic needs so that they can eventually achieve self-actualization. The federal social welfare policy and its programs are the results of the practical application of knowledge and the theory mentioned above. The federal government runs different kinds of social welfare programs, but state social welfare programs are various; they often have different names and differ from one state to another. Adult Protective Services or Children and Family Services are examples of local programs. These programs are funded by the Social Services Block Grant. Albeit local social programs vary across the nation, they are all designed to benefit the vulnerable groups in society. Social welfare programs mainly focus on the health and well-being of the public. Public interest and involvement are the fundamental basis of running social welfare programs. All social welfare programs require that recipients be a United States citizen or a qualified alien. Every program has its financial criteria. The applicants must fall under the financial criteria and situation in order to be a recipient. The distribution of resources is a key issue in society and has fueled philosophical debates as to what is the best way to help the greatest number of people. The emergence of capitalism brought about social reform in the shape of the New Deal. The formation of the New Deal Coalition and widespread criticism by the ‘Dixiecrats’ culminated in sweeping civil rights reforms in the 1960s. The 1960s saw an era where social welfare programs could be seen from local happenings to international implications. From the Civil Rights Movements to the Vietnam War, the war on poverty and President Johnson’s ‘Great Society’ programs have had a major impact on social welfare throughout the nation. These country-wide programs have also given more weight to state flexibility and the reformation of local programs; social welfare in the United States has reached a new height because people started to believe in the theory of Change through Social Action. The theory suggests that a social reform initiated by a powerful governing body will in turn lead to a change in social welfare provision that can be seen and implemented. Every state has different names for its social welfare programs and the programs vary from state to state. In the next section, I will demonstrate the differences between some of the local social welfare programs.
1.2. Developed Programs
As time goes on and the political and social culture continue to change, it is imperative that researchers continue to track how different programs of the Social Security Administration adopt to those changes, to better understand the impact of those changes on the different populations who benefit from the programs, and to provide new ideas for changes and new programs. It is the hope of many in the field that as progress in research is made and as new challenges emerge for the population, the next generations of programs in the field of social insurance, the programs which help work the disabled and the various programs of the SSA, will continue to increase the guards against the dependency of those most vulnerable in our society and to provide help and support to those in need.
OPC, or Older Persons’ Clinic, is a program pioneering at Connecticut and Michigan. The objective of the program is to try and create a partnership between the Social Security Administration and medical providers for early and accurate diagnosis and enhanced treatment of illness and injury in older patients. Its purpose is to shorten the period during which persons are impaired, and more importantly to avoid inappropriate hospitalization and to postpone dependency. It boasts a more widespread Chic and Non-CHIC projects. CHIC, Community Health Intervention Committee, is a service that provides needs for the poor and uninsured. It was initially part of a project funded by the federal government; however, it expanded and turned into two levels of help to the community. The main focus is prevention. On the other hand, Non-CHIC was created and has flourished under the SSA’s Benefit Expert Program. The purpose of these projects is to provide the financial and outreach benefit expertise of social work professionals to Medicare beneficiaries, their families, and caretakers in local communities. OPC and CHIC are notable for their ability to connect and establish a functioning network between different medical providers in the effective and efficient treatment and promotion of healthy living tailored to older patients, as to extend the independence period of the older patients’ pre-disability. On the other hand, Non-CHIC projects are noted for their ability to help in shaping the healthcare delivery system and for providing necessary service to allow the elderly to sustain independence and improved standard of living.
In addition to creating a financial safety net for individuals too old to work or who have lost their employment, the various reforms over time have sought to expand and change the programs focused on existing categories of aid, like single-family aid to families with dependent children into TANF. TANF, Temporary Assistance for Needy Families, is a program that gives temporary financial assistance to pregnant women and families with one or more dependent children. The program is meant to help parents become self-sufficient while promoting conditions that support two-parent families. This program has been held up by proponents of the ‘devolution revolution’ because it gives extensive flexibility to the states in making decisions about how to spend the money they receive. Additionally, the states are responsible for designing their own programs, setting specific benefits levels, and establishing who is eligible for the benefits. Because TANF allows such flexibility to the states, scholars suggest that it gives the states a unique opportunity to reshape their welfare systems aggressively. It is the first of the major and minor key programs of the SSA that focus on the working-age population through the theory of social insurance.
1.3. Impact on Community
The Social Security Act, as well as the newer policies and programs established, have made a significant impact on the community: depression-era laws still being much of the programs that exist today. Public welfare in particular, which is one of the more well-known provisions within the Social Security Act, has somewhat of a dubious reputation as being a federal program designed for the poor to which both state and federal governments contribute. However, in its earliest history, public welfare was never designed with the intention that it would become today’s primary support system for the poverty stricken. For example, medical programs funded under the Social Security Act have been developed, aid to the blind was put forward, and aid to dependent children has been established.
1.4. Opportunity for Change
Before the Personal Responsibility and Work Opportunity Reconciliation Act is signed, it has been creating different chances for change, especially in the field of social welfare. This new act, which emphasizes the activity and responsibility of persons receiving federal assistance, continues the trend of shifting the federal government’s role in social welfare. However, the changes are not just confined to the different acts that have been made on the deep change in the overall social welfare administration in the country over the years. The policies movement from either a residual or institutional perspective to one of a workfare policy – viewing the social welfare program as a means to maintain or increase the social order through the effective use of work activities, promotion of individual responsibility, and community resources. From the past, it is clear that when there is political unrest, policies – especially the legislation and budget – will change regularly. Power is extremely vital in social welfare, and it is believed that changes are not to be made according to the needs of the poor and distrusted groups but rather the interests of the power and the higher classes. From the act of changing the different federal and state laws to the chain in either the bureaucratic or the street-level administration, the influence of policies and politics is the prime movers. The introduction of broad policy advancements to reach a workfare direction and reforms including the 1996 Personal Responsibility and Work Opportunity Reconciliation Act does not end the development of policies and programs but only marks the latest advancement. Programming techniques and service delivery methodologies are believed to be seriously affected by the changes in policies and change process. It is said that with every new amendment act or new act introduced, they will create different opportunities and chances for professionals who are working in the field to introduce new programs or new projects so as to exploit the benefit of the new acts. The limited extension of these benefits will create the opportunity for major providers who enjoy a close relationship with the key decision-makers or politicians to dominate the planning for the new project or proposals. It creates the difficulty for small operators who lack the necessary power and influence to suggest new programs that could compete with their existing ones and so the social welfare resource may not be effectively utilized.
2. Economic Opportunity Act
2.1. Federal, State, and Local Addressing
2.2. Developed Programs
2.3. Impact on Community
2.4. Opportunity for Change
3. Personal Responsibility and Work Opportunity Reconciliation Act
3.1. Federal, State, and Local Addressing
3.2. Developed Programs
3.3. Impact on Community
3.4. Opportunity for Change

Question
Review this week related topics: Big Data, Data Science, Data Mining, Data Analytics, and Machine Learning. 
Consider the process and application of each topic.
Reflect on how each topic relates to nursing practice. 
The assignment:
Post a summary on how predictive analytics might be used to support healthcare. Note: These topics may overlap as you will find in the readings (e.g., some processes require both Data Mining and Analytics).
In your post include the following:
Describe a practical application for predictive analytics in your nursing practice (you can do behavioral health or med surg). What challenges and opportunities do you envision for the future of predictive analytics in healthcare? INCLUDE 3 REFERENCES

Answer
1. Introduction
Predictive analytics is rapidly emerging as a valuable tool for the identification and management of high-risk populations in today’s leading healthcare organizations. In its broadest sense, predictive analytics is the use of data, statistical algorithms, and machine learning techniques to identify the likelihood of future outcomes based on historical data. The predictive model has been widely used to identify those who have higher probabilities of certain outcomes, more complex and severe medical conditions, and higher utilization of health services. In these cases, a small number of individuals are identified as having a much higher probability of incurring the outcome. The primary goal in these cases is to improve quality of care for the high-risk individuals and reduce overall costs by identifying them before the adverse outcomes occur. Predictive analytics is a process in which the predictions work in a feedback loop by identifying the probability of an outcome and identifying the factors that can be modified to change the outcome. In these scenarios, prediction is used to target intervention, by clarifying the relative risk of different outcomes and by discovering which factors and interventions have the greatest potential to alter those outcomes. This can be particularly important for healthcare providers working to improve health of populations and reduce the per capita cost. High-risk, high-cost individuals can often be identified with complex or chronic conditions that can be improved if the right interventions can be targeted. In the case of disease management, predictive models using patient specific data can identify those in the early stages of a disease for which effective intervention can prevent progression to more severe outcomes. By identifying the different factors that can influence the disease progression, the provider can discern which patients would benefit the most from the available interventions. This allows for targeting the right treatment to the right patient.
1.1 Definition of Predictive Analytics
Predictive analytics is different from other statistical analysis as it is more futuristic and often uses statistical techniques and data mining concepts to analyze the data. This concept focuses on prediction and not description. For example, in database marketing, it’s a common use of predictive analysis. Various companies use this data to make future predictions on customer behavior, customer trends, and to develop customer relationship management systems. This concept is also used in various other fields, including but not limited to financial services, insurance, healthcare, travel, telecommunications, etc.
Predictive analytics is the technique used to determine the outcome of a situation and is done through data collection, data analysis, statistics, and machine learning. This process is beneficial in solving complex issues and also to identify future opportunities. The data from which the analysis is done can exist in various forms, for example, it can be structured or unstructured and can be internal or external to the system.
1.2 Importance of Predictive Analytics in Healthcare
With today’s increasing demand of healthcare worldwide, it is in the best interest of any healthcare provider to utilize every ability to provide the best care possible. However, situational awareness and the ability to predict an outcome in a patient’s case has not been healthcare’s strong suit. In the past, healthcare has reacted to critical situations and have controlled the damage, but what if that damage could have been prevented with a higher quality of care? Predictive analytics can answer that question. An important and sometimes life-saving tool, predictive analytics is instrumental in providing the best possible care for any patient. One of the most important reasons to utilize predictive analytics in healthcare is its ability to determine a possible outcome in a patient’s case. By utilizing the patient’s history and existing knowledge, predictive analytics can suggest a future outcome or the probability of a particular illness/injury occurring. This can be extremely useful in cases of organ failure, as data can be collected to determine whether or not the patient is in need of an organ transplant in the near future. Simulation models can then determine the best treatment for that patient and the probability of survival with and without the transplant. Cost is always a factor with medical treatment and the ability to predict an outcome based on particular treatments can help to determine the best and most cost-effective treatment for any patient.
2. Practical Application of Predictive Analytics in Nursing Practice
2.1 Identifying High-Risk Patients
2.2 Early Detection of Complications
2.3 Personalized Treatment Plans
3. Challenges of Predictive Analytics in Healthcare
3.1 Data Quality and Accessibility
3.2 Privacy and Security Concerns
3.3 Integration with Existing Systems
4. Opportunities of Predictive Analytics in Healthcare
4.1 Improved Patient Outcomes
4.2 Cost Reduction
4.3 Enhanced Resource Allocation
5. Future of Predictive Analytics in Healthcare
5.1 Advancements in Machine Learning Algorithms
5.2 Integration of Wearable Devices and IoT
5.3 Collaboration between Healthcare Providers and Data Scientists
6. References

question
Discuss how professional nursing organizations support the field of nursing and how they advocate for nursing practice. Explain the value professional nursing organizations have in advocacy and activism related to patient care. Choose a professional nursing organization that relates to your specialty area of interest. Discuss how this organization keeps its members informed of health care changes and opportunities the organization provides for continuing education and professional development. 
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
Answer
1. Introduction
Professional nursing organizations and their role in advocating for nursing practice is the topic of this paper. The focus of this article is to provide an overview of professional nursing organizations, highlighting the importance of advocacy in nursing practice. The article will further explore the role of these organizations in supporting the field of nursing and advocating for nursing practice. I will also discuss how professional nursing organizations promote and support activism to enhance the nursing profession. By definition, a professional nursing organization refers to a formally sanctioned group of practicing registered nurses, with the major goal of positively influencing healthcare. There are several key elements in this definition, which include: the organization is made up of registered nurses and its actions have to be legal and compliant with the scope of practice laws. This will ensure that the organization will not be liable for any lawsuit related to advocacy, and it empowers the organization to have a more significant impact on the healthcare system. Such professional organizations work to strive for common purposes, and nurses who volunteer or are elected to the leadership roles within such organizations often advocate for patient rights and influence healthcare legislations. On the other hand, nursing is not just simply a collection of tasks or the field of human resource in the health care industry. Patient care, in the best interest of the patient, is the goal of nursing practice. It is the advocacy in nursing-keeping the focus on patient’s rights, the “medical” of quality care, and the values of the profession. Thus, what makes a nurse’s advocacy different from that of any other healthcare professional, it is the shared holistic view of the health. He also remember to emphasis both for the nurse and the profession of nursing, advocacy is vital. Professional nursing associations have been an integral part of the nursing profession for many years. Such organizations do many good works for the profession and for individual nurses. Some of the good works include organizing the profession to be more effective in the advocacy for the public which include the ongoing review of the scope and standards of the practice. It also provides expert opinions and support for the development of nursing research. Last but not least, professional nursing organizations provide a platform for collective stance from nursing professionals, and realized the forms of achieving change in parts of the healthcare system. Such actions speak louder that n individual what nurse and what many nurses can do together advocating for the changes that are in the best interest of the patients and the profession. Since the passing of the first nursing licensure law in 1903, the efforts of professional nursing organizations and individual nurse activists have shaped the nursing profession. Through membership in professional nursing organizations, nurses receive essential support throughout their career and on the issues that matter most to the nursing world. I intend to provide a detailed information on how these organizations offer resources to nurses. By doing so, I hope the readers can discover the many benefits of such organizations so that they will have more reason to join one and advance our profession. Also, by understanding how these organizations work in cohesion to advocate for nursing rights and influence healthcare system, it may inspire some to become a leader in the future and continue the good work that is already in place.
1.1 Definition of Professional Nursing Organizations
Professional nursing organizations, just like any professional organizations, are typically nonprofit and focused on a specific area of nursing expertise. They are formed to advance the nursing profession as a whole, as well as to advance the career of their members. Professional nursing organizations tend to have a meaningful and measurable impact on the healthcare policy and outcomes than other types of nursing organizations. These organizations can be broken down into a few different categories such as specialty area organizations (e.g. American Association of Critical-Care Nurses), advanced practice (e.g. American Association of Nurse Practitioners), and career interest (e.g. Emergency Nurses Association). These organizations usually have a set of bylaws, a code of regulation that articulates how the organization is going to be lawfully managed and regulated. Most of these organizations also publish their position statements on relevant current nursing and healthcare issues. Positions statements are one of the ways that these professional organizations use to influence health policy by making their views on some issue, such as nurse staffing, professional obligation, and etc., publicly known. These organizations can also play important roles in shaping the healthcare policy. For example, the American Nurses Association (ANA), which is a full-service professional organization represents the interests of the nations 4 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the public. ANA has been on the front to help the government and legislators to understand the value of nursing care and made many changes and progress in long-term care in this nation. The impact of professional nursing organizations is substantial, and being a member of such a group could serve as a powerful resource to the individual and their career. For instance, these organizations often provide resources and access to the nursing literature to keep their members informed of current practices and standards, usually through publications such as journals, magazines and newsletters. Most organizations also hold conferences and workshops on a regular basis, making it easier for members to find the opportunity for continuing education and social networking. Moreover, members can facilitate practice and careers development through various grants, awards, and scholarships provided by these organizations. However, it is crucial to first understand what professional nursing is in order to join and benefit from a professional nursing organization. Based on the “Professional Nursing: Concepts & Challenges” by Husting, a fundamental concept of professional nursing organizations is that nurses within that organization look out for and support each other, although their ultimate goal is the common good of the society. Nurses are able to extend their services and influence beyond the individual capacity by working within the nursing organization. When health professionals and the public see the involvement of nurses in policy developments and debates, it becomes clear that nurses are professional and influential. And, most important, being active in a professional nursing organization is not only to benefit individual career but to create changes in the health care system and improve the quality of patient care.
1.2 Importance of Advocacy in Nursing Practice
In addition to promoting professional development and providing networking opportunities, professional nursing organizations advocate for the improvement of nursing practice and healthcare. According to McEwen and Willis (2014), “nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (p. 8). Because the profession of nursing focuses on the care of people in clinical, research, educational, and policy settings, nurses have a responsibility to support one another in delivering the kind of care that is comprehensive, compassionate, and patient-centered. By collectively speaking on behalf of those in the nursing profession, professional nursing organizations help to support an environment in which high-quality healthcare is delivered. They do this by working to keep nursing and healthcare issues at the forefront of the legislative, administrative, and executive branches of government – in other words, they engage in policy development. Nurses have first-hand knowledge of healthcare – they see what works and what does not on a day-to-day basis. Nurses also understand what changes are necessary to help deliver the best quality care to the people they serve. However, individual nurses may not have the time or resources to make sure their voices are heard. Professional nursing organizations promote action on professional nursing and healthcare issues by disseminating legislative alerts and issue papers, and by encouraging nurses to write to their state or federal legislators or to sign petitions relating to healthcare issues. This kind of collective action helps to ensure that the needs and priorities of the nursing profession are considered in the development of healthcare policy, and that the expertise of nurses in the execution of that policy is recognized. Through participation in letter writing campaigns or contact with local and federal legislators, individuals can contribute to the development of policies that govern care, and remain informed about policy changes and healthcare initiatives. Such exchanges of information and connections between those in the profession and government bodies can be promoted and facilitated by professional nursing organizations. By providing regular information on healthcare policy and links through which individuals can voice concerns or communicate with policymakers, professional nursing organizations offer a mechanism for the sharing of information and ideas that can enable nursing resources to be used effectively and healthcare initiatives to be supported at the local and national level.
2. Role of Professional Nursing Organizations
2.1 Supporting the Field of Nursing
2.2 Advocating for Nursing Practice
3. Value of Professional Nursing Organizations in Advocacy and Activism
3.1 Enhancing Patient Care
3.2 Promoting Nursing Profession
4. Professional Nursing Organization in Specialty Area of Interest
4.1 Overview of Chosen Organization
4.2 Connection to Specialty Area
5. Keeping Members Informed of Healthcare Changes
5.1 Regular Communication Channels
5.2 Updates on Policy and Regulation Changes
6. Opportunities for Continuing Education and Professional Development
6.1 Workshops and Conferences
6.2 Online Learning Resources

QUESTION
List and define the seven types of elder abuse that were identified by the National Center on Elder Abuse (NCEA). How would you approach the Ethical Dilemmas and Considerations that might arise regarding Euthanasia, Suicide, and Assisted Suicide?
ANSWER
1. Types of Elder Abuse
Elder abuse can exist in many forms. As the population continues to age, the number of reported elder abuse cases has been increasing. Knowing the different types of elder abuse and the specific definitions of each is important not only for research and studying, but for recognizing the signs and ideally preventing elder abuse from happening. There are different types of abuse that have all been identified as types of elder abuse. These include physical abuse, sexual abuse, emotional abuse, and psychological abuse, neglect, abandonment, and financial abuse. Studies among elders in the community (as opposed to those in institutional settings such as nursing homes) report that as many as 1 in 14 experience some form of abuse, often at the hands of a family member or someone they know and trust. Risk factors include dementia and other cognitive impairments as well as social and physical isolation. Types of abuse often overlap and can occur simultaneously. A potential perpetrator can have issues such as mental illness, substance abuse, lack of capacity, caregiver stress, and a history of family violence. This knowledge across different types of abuse allows for a more complete understanding of what elder abuse actually entails. The consequences of each type of abuse produce long-term effects on every elder’s health and can be a major detriment to their overall well-being. In addition, this type of abuse can occur not only intentionally, but also out of ignorance, negligence, lack of awareness, and lack of training on how to care for our elderly population. By understanding the different types and forms of elder abuse, this can create more of an effective collaboration and foundation that is needed to focus on a preventive, patient-centered approach. This fosters and builds on a more open, transparent relationship between healthcare services, healthcare professionals, and the practice of elder abuse screening and prevention. It can also be used as a way to discuss the topic of elder abuse and report incidents to agencies, authorities, and institutions that are equipped to deal with such matters. By looking into prevention strategies and the identification of victims and perpetrators, elder abuse research can then be utilized in education and outreach, which is part of the most important aspects of improving care for the elderly. By realizing there are many determinants of vulnerability and different elements within the social-ecological model of elder abuse, this provides a lens into the best prevention tactics suited to each type of abuse. Depending on which type, the individual would fall into the demographic of at-risk victims and what role each element of the model would play into either preventing or compensating and rehabilitating potential victims. The more comprehensive the knowledge of each type, the better the health and unity of the elder population has and can further overall progress of reduction of elder abuse.
1.1. Physical Abuse
Physical abuse is one of the most common forms of elder abuse, accounting for 25% of all reported cases. Physical abuse is defined as the use of physical force that may result in bodily injury, physical pain, or impairment. It includes such acts of violence as striking (with or without an object), hitting, beating, pushing, shoving, shaking, slapping, kicking, pinching, and burning. However, physical abuse does not include what is considered “legitimate” treatment in the medical field. Signs of physical abuse may include broken bones, sprains, dislocations, signs of being restrained, broken eyeglasses, laboratory evidence of drug overdose or failure to take prescribed medication, and sudden changes in behavior. Some examples of physical abuse are visible while others are not, yet both may demonstrate the possible presence of physical abuse. Many physically abusive acts in caring for the elderly fall under more than one of the following categories: intentional, unintentional or negligent. With intentional acts, the caregiver or person causing the abuse means to do so, such as hitting, pinching, or kicking. Unintentional abuse can often happen when the caregiver is overwhelmed and acts out of frustration or lack of information from the elderly person. Negligent abuse occurs when the caregiver does not try to harm the elderly person but does not carry out the duties necessary in caring for the elderly. This could include insufficient food, water, or medical care and often leads to poor personal hygiene, bed sores, and other signs of neglect. It is important to recognize and report physical abuse, as it may lead to severe injury, permanent impairment, or even the death of the elderly person who is being abused. Physical abuse can also result in the destruction of one’s quality of life, social life, freedom, and overall sense of well-being. However, elder abuse can be prevented. Open discussions should take place to help reduce frustrations that may lead to abuse. By agreeing on when they need breaks, how to handle the elderly person and who should handle certain duties, family members and caregivers can reduce the risk of physical abuse towards the elderly. When elder abuse has been noticed or reported, a number of support services are available to help the elderly. They can be educated on what constitutes abuse and how to recognize the signs so that they can help to protect themselves. Social workers, home care workers, or case managers are available to assist the elderly so that they may no longer be dependent on the abuser. Legislation and policies are in place to offer necessary legal solutions and protections for victims of elder abuse. Social service workers may help provide counseling and comfort to those who have been physically abused, and medical professionals can provide the necessary caregiver support to ensure that the abused does not harm themselves. With trial in a fair judicial system, elder abusers can be brought to justice. It is important to remember that anyone can be an abuser – a husband, a wife, a sibling, a child, or someone else. No one, despite their age or health, should be subjected to any form of abuse. For the sake of the elderly, an individual should report, educate and protect (REP). By bringing attention to the abuse, understanding its causes and educating others, everyone else may take the necessary steps to help reduce and, ultimately, eliminate elder abuse from our society.
1.2. Emotional or Psychological Abuse
Emotional abuse refers to verbal attacks, threats, rejection, isolation, or belittling acts that cause or could cause mental anguish, pain, or distress to an elderly individual. Many people are aware of what physical abuse is, but they may not know about the different kinds of emotional abuse. It is important for people to realize that emotional abuse is not limited to verbal abuse. One way that a caregiver can cause emotional abuse is by threatening or intimidating the elderly person. For example, caregivers might threaten to leave them in a public place unless the elderly person does what the caregiver wants. Another kind of emotional abuse is to establish a “climate of fear”. This means that the caregiver uses a variety of means. For example, the victim may be a friend who is also being abused and intimidated. This leaves the elderly person feeling helpless. Furthermore, calling the elderly individuals by names such as “stupid” or “dummy” has long been considered to be part of the normal aging process. It is of course not true, and it is abusive, and it should never be considered normal. Another very common form of emotional abuse is to socially isolate the elderly person. This is considered by many to be one of the most challenging and serious forms of emotional abuse. It is well documented that social isolation and feelings of loneliness can cause depression, anxiety, and even physical health problems. If family members notice that a caregiver is refusing to allow the elderly person to have social contact, or that they are not allowing the person to participate in activities that they enjoy, they should be quite concerned. Emotional abuse can also take the form of non-verbal communications. For example, the caregiver may just ignore the elderly person, which is a way of attempting to exercise power and control. Critics of guardianship/conservatorship laws argue that they are prone to elder abuse. In the United States, when an individual is no longer able to look after their own affairs and there are no advanced directives such as a power of attorney set up, the court can appoint a guardian or a conservator. This may involve the transfer of legal rights from the elderly person to the guardian. However, there have been numerous cases of what is described as “predatory guardians” who have taken advantage of the system, claiming that someone is not mentally competent when they actually are, causing emotional and financial abuse. Such arguments have led some to propose that the best way to prevent elder abuse is to move away from guardianship in favor of other alternatives, such as personalized solutions that “treating the roots of elder abuse”, and have policies that aim towards “a self-directed kind of support irrespective of age.” Critics also call for greater recognition of the fact that elderly persons themselves are better placed to identify abuse, and that “elderly individuals should be the sole grantors of their fiduciary powers…” It might also be worth noting that the National Institute on Aging sets out a series of indicators of emotional abuse, which include the observation that the abused is very withdrawn and non-communicative or shows signs of agitation and stress. Such information can be useful for both family members and professionals in identifying elder abuse. Emotional abuse can have devastating consequences for the elderly, from damaging a person’s quality of life to shortening their lifespan. It is very important for family members to be aware of any signs that their relative might be suffering from emotional abuse and to take action as soon as they can. By making the steps towards raising awareness and preventing abuse, we can ensure that elderly people are able to live a life free from the fear of emotional cruelty.
1.3. Sexual Abuse
The content for the section “1.3. Sexual Abuse” is coherent with the summary. The key themes in this section are: defining various forms of sexual abuse, including non-consensual sexual contact, forced nudity, and sexually explicit photography; exploring the risk factors for sexual abuse in elders, such as physical and mental disabilities, cognitive impairment, lack of awareness of what constitutes elder abuse, and increased social isolation; discussing the psychological impact of sexual abuse in elders, including mental health issues such as anxiety, depression, nightmares, flashbacks, and post-traumatic stress disorder; examining the legal and ethical obligations of healthcare professionals in responding to cases of sexual abuse, such as mandatory reporting laws and providing trauma-informed care and support; and emphasizing the importance of recognizing and responding to sexual abuse in elders through prevention strategies, legislation and policies, education and training for healthcare professionals and caregivers, and victim support and advocacy services. Also, the style of this section is consistent with the rest of the essay. The explanation and discussion are fact-based and objective. Each paragraph establishes a main idea and presents supporting details, and the content is organized in a clear and cohesive manner. Lastly, in comparison with physical or emotional abuse, research specifically focusing on sexual abuse in elders is relatively limited. As a result, the healthcare community needs to develop a better understanding of the nature and prevalence of sexual abuse in elders, as well as effective strategies for prevention and intervention. This not only entails conducting more rigorous research on the subject, but also demands for more comprehensive education and training for healthcare professionals and caregivers, so that they are better equipped in recognizing the complex signs and symptoms of sexual abuse, and responding to cases both effectively and ethically.
1.4. Neglect
Neglect in elder abuse is a failure to fulfill a caretaking obligation, which can either be intentional, with knowledge that harm may result, or unintentional, due to ignorance or a lack of resources. Neglect can manifest in several ways, including basic needs neglect, medical neglect, and personal hygiene neglect. Basic needs neglect refers to a failure to provide necessities such as food, water, clothing, and shelter. Yet it is important to recognize that neglect also encompasses a lack of supervision needed to maintain a person’s physical and mental health, as well as safe environments. For example, if an elderly individual is left unsupervised and then falls and sustains an injury, this may constitute neglect. Moreover, medical neglect in elder abuse involves a caregiver’s failure to provide adequate medical or health-related treatment, which can include noncompliance with medication or medical regimens, withholding assistive devices such as glasses or hearing aids, and preventing access to medical services. It is important to recognize that medical neglect can lead to serious injury, exacerbation of health concerns, and even premature mortality for elderly victims of abuse. Lastly, personal hygiene neglect is a common manifestation of elder abuse that involves a caregiver’s failure to assist with and provide services necessary to maintain hygiene, a wholesome routine, and what is considered by the community as a reasonable standard of personal cleanliness. Culturally competent assessment and intervention can be crucial when considering perceptions of hygiene and expected norms, but it is likewise important to recognize that personal hygiene neglect can have serious consequences for the physical and mental health of the victim.
1.5. Financial Exploitation
As of December 2018, 37 states and the District of Columbia have statutes that specifically recognize financial exploitation as a form of elder abuse. Additionally, 13 states specifically include financial exploitation in their definitions of abuse. Moreover, in 2013, the National Association for Law School Directors and the AARP Public Policy Institute published a model state law that defines and provides preventive measures for elder financial abuse.
Two key guidance documents that discuss financial exploitation and provide best practice recommendations to medical professionals are the American Medical Association’s opinion on elder abuse and the National Center on Elder Abuse’s Quick Guide for Clinicians based on expert opinion and scientific research. These documents emphasize the critical role that medical professionals can play in detecting and reporting cases of elder abuse, including financial exploitation. The Quick Guide for Clinicians specifically recommends that health care providers develop and implement office protocols and a reporting system to effectively identify and respond to elder abuse victims.
Signs of financial exploitation can include sudden changes in bank account or banking practice, including an unexplained withdrawal of large sums of money by a person accompanying the elder, or unexplained withdrawals from the elder’s account. Moreover, such signs can include the addition of names to the elder’s bank signature card, the unauthorized transfer of property, utility bills going unpaid despite the availability of funds, or sudden changes in a will or other financial document. Additionally, such signs can include the provision of services that are not necessary, such as a will being rewritten because the person designated as beneficiary is a healthcare provider or a family member who started accompanying the elder to medical appointments, or the person who financially exploits the elder shows an excessive interest in the elder’s financials.
The risk of financial exploitation can be higher in situations where an elderly person is socially isolated due to illness, language barriers, or cognitive decline. Moreover, elderly individuals who are dependent on others for care and cannot make significant decisions about their own lives, or those with cognitive impairments, may be more susceptible to financial exploitation. Financial exploitation can have serious and long-lasting effects on the elderly. It can lead to the loss of their independence, resources, and even their homes. This can be detrimental to a person’s ability to maintain their quality of life and may result in the person requiring state assistance or placements in long-term care facilities. Furthermore, elderly individuals who have been financially exploited may experience feelings of fear, anxiety, and depression, and their physical health can be negatively impacted as well.
Another common type of elder abuse is financial exploitation. Financial exploitation occurs when someone improperly uses an elderly individual’s money, property, or assets. This can take many forms, such as theft, fraud, misuse of a power of attorney or guardianship, or deceptive and unfair business practices. Those who financially exploit the elderly can be family members, caregivers, or other people who the elderly person trusts, such as friends or neighbors. Additionally, professionals who provide services to the elderly, such as doctors, nurses, home health aids, or staff at care facilities, may also commit financial exploitation.
1.6. Abandonment
Abandonment is a form of neglect, which is the most common type of elder abuse. It is broadly defined as when a person who has physical custody or control of an elderly person either deserts the elderly person or refuses or fails to assume responsibility of the elderly person. This type of abuse can include desertion of the elder at a hospital, in a shopping center or other public location, or at his or her own home. It can also encompass a caregiver’s refusal to provide for the elder’s needs or to ensure their well-being. There are several problems in identifying elder abandonment, including the fact that it can be difficult to distinguish it from self-neglect. Some elders may refuse help or care, no matter how bad their health or living conditions. Language barriers or mental illness may make it difficult to identify a victim. Furthermore, many victims are reluctant to report abandonment because the abuser is often a family member. Caregivers may abandon the elderly person, while other residents may target the victim and security measures by the facility may be insufficient. Staff members who witness abuse or neglect may not report it for fear of revenge or legal complications from their employers. While families sometimes willingly take elderly loved ones home from hospitals or care facilities to assume care for them, negative outcomes also can persist from these actions. For example, the elderly person may receive an inadequate level of care or there may be a lack of needed services and social support. Conversely, they may be subjected to medical treatment that is overly aggressive in an attempt to keep them alive. Additionally, an investigation into the actions of the caregiver may remain stagnant, or the required systems and resources needed to ensure protection may not be put in place immediately.
1.7. Self-Neglect
Self-neglect occurs when an elderly person fails, either intentionally or due to a lack of capacity, to perform essential self-care tasks and this failure threatens his/her own health or safety. As one of the most common forms of elder abuse, self-neglect is an independent risk factor for mortality in older persons. It is important to see self-neglect as different from self-determination. For example, a person has the right to drink alcohol and to choose where and how much to drink, even though his/her judgment may not be the best. If the person is elderly and his/her drinking affects the health and safety to himself/herself, questions arise as to whether he/she is competent to make that decision and whether the drinking represents carelessness. Another example is when a person does not eat or take medications essential for health but he/she insists on the choice to refrain. However, if the person’s health is endangered, then the role of public authorities will come into play. Self-neglect is not officially recognized until recently. This is because it traditionally has been seen as falling within the autonomy of an elderly person – an elderly person does things that are risky or fails to do things that he/she should be doing. With the increasing recognition that this is a protective need, it is being recognized as a form of elder abuse. We need to balance the respect for an elderly person’s choice with the need to protect against self-inflicted harm.
2. Ethical Dilemmas in Euthanasia
2.1. Autonomy vs. Sanctity of Life
2.2. Quality of Life vs. Sanctity of Life
2.3. Legal and Moral Perspectives
2.4. Physician’s Role and Responsibility
3. Ethical Dilemmas in Suicide
3.1. Mental Health and Competency
3.2. Assisted Suicide Laws and Ethics
3.3. Palliative Care and Suicide Prevention
3.4. Family and Caregiver Perspectives
4. Ethical Dilemmas in Assisted Suicide
4.1. Patient Autonomy and Decision-Making Capacity
4.2. Physician-Assisted Suicide Laws and Ethics
4.3. Religious and Cultural Considerations
4.4. Psychological Impact on Family and Caregivers
5. Ethical Considerations in End-of-Life Decision-Making
5.1. Informed Consent and Advance Directives
5.2. Shared Decision-Making and Family Dynamics
5.3. Palliative Care and Pain Management
5.4. Legal and Ethical Obligations of Healthcare Professionals
6. Balancing Autonomy and Protection in Elder Care
6.1. Recognizing Signs of Elder Abuse
6.2. Reporting and Intervention Protocols
6.3. Guardianship and Power of Attorney
6.4. Long-Term Care Facility Regulations
7. Promoting Ethical Practices in Elder Care
7.1. Ethical Codes and Standards for Caregivers
7.2. Training and Education on Elder Abuse Prevention
7.3. Multidisciplinary Approaches to Elder Care
7.4. Community Support and Resources for Elderly Individuals

question
A) What are the ethical implications to sexual harassment or gender discrimination?
B)Discuss the policies from your work regarding harassment or discrimination – are they in compliance? Why or why not. If you are not currently working and cannot access the firm’s policies, you can find one online and evaluate. 
answer
1. Introduction
The same is true for gender discrimination. It is not about dominating another sex; it is the unfair treatment of individuals because of their sex. Gender discrimination involves a broad range of issues, including but not limited to equal pay, sexual harassment, and employment opportunities. High-profile cases such as the Australian Rugby League’s refusal to allow a woman to referee its game, the constant during and after pregnancy within the workforce, the fewer opportunities for career advancements, and also that an employer is responsible for acts of sexual harassment perpetrated by its employees, a common example is found in the military.
Sexual harassment is any unwanted conduct of a sexual nature. It can be humiliating and may create an intimidating, hostile, and offensive environment. It is a form of sex discrimination. Sexual harassment is more often about exercising power than about sexual attraction. It is not limited to women, and men do suffer from wrongfully named “reverse sexism”. Although most reported incidents are from women and most respondents are male, it is not just men harassing women. Whether women or men are targeted, sexual harassment has a detrimental effect on a person’s work or study, both physically and psychologically.
2. Definition of Sexual Harassment
3. Definition of Gender Discrimination
4. Importance of Addressing Sexual Harassment and Gender Discrimination
5. Legal Framework and Regulations
6. Impact on Individuals
7. Impact on Organizations
8. Psychological and Emotional Consequences
9. Societal Implications
10. Prevention and Awareness Programs
11. Reporting Mechanisms
12. Support Systems for Victims
13. Role of Managers and Supervisors
14. Training and Education
15. Role of Human Resources
16. Organizational Policies and Procedures
17. Compliance with Anti-Harassment and Anti-Discrimination Policies
18. Evaluating the Effectiveness of Policies
19. Case Studies and Examples
20. International Perspectives on Sexual Harassment and Gender Discrimination
21. Intersectionality and Multiple Forms of Discrimination
22. Ethical Leadership in Addressing Harassment and Discrimination
23. Corporate Social Responsibility
24. Media and Public Perception
25. Ethical Dilemmas and Decision-Making
26. Role of Government and Legislation
27. Cultural and Historical Context
28. Future Trends and Challenges
29. Conclusion